EDWARD EUGENE BLACK DDS - Dentist License in California | # 019012452

EDWARD EUGENE BLACK DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012452

License Status

INACTIVE

Business

N

First Name

EDWARD EUGENE

Last Name

BLACK

Suffix

DDS

Business Name

EDWARD EUGENE BLACK DDS

Original Issue Date

07/14/1964

Effective Date

07/14/1964

Expiration Date

09/30/1992

State

CA

Ever Disciplined

N

LastModifiedDate

10/12/2005